HIV, hepatitis B/C and syphilis prevalence and risk behaviors among gay, transsexuals and men who have sex with men, Dominican Republic
HIV, hepatitis B/C and syphilis prevalence and risk behaviors among gay, transsexuals and men who have sex with men, Dominican Republic
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DOI：
10.1177/0956462412472460
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发表时间：
2013-04-01
影响因子：
1.4
通讯作者：
Vales, H. M.
中科院分区：
文献类型：
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作者：
Johnston, L. G.;Vaillant, T. C.;Vales, H. M.
这项研究调查了多米尼加共和国男同性恋者、变性者和男男性行为者(GTM M)中艾滋病毒、乙型肝炎(乙肝)和丙型肝炎(丙型肝炎)和梅毒的流行率以及与艾滋病毒感染相关的行为。符合条件的男性年龄为15岁，报告在过去6个月内与另一名男性发生肛交/口交，并居住在抽样的四个城市之一。圣多明各(n=510)、Barahona(n=281)、La Altag racia(n=270)和圣地亚哥(n=327)招募了GTM。HIV血清阳性率为5.1%~7.6%。乙肝病毒为0.6%~3.5%，丙型肝炎病毒为0.8%~6.9%，梅毒为3.5%~6.9%。GTM实施了许多危险的性行为，包括拥有多个性伴侣，以及与男性和女性，包括交易性伴侣，不一致地使用避孕套。尽管我们发现与之前的研究相比，艾滋病毒感染率较低，但如果不采取行动扩大针对这一人群的有效预防方案，多米尼加共和国GTM实施的高度危险的性行为很可能会导致艾滋病毒和其他感染的增加。
This study investigated HIV, hepatitis B (HBV) and C (HCV) and syphilis prevalence and associated behavioural correlates to HIV infection among gay, transsexuals and men who have sex with men (GTMSM) in the Dominican Republic using respondent-driven sampling. Eligible men were aged >= 15 years, reported engaging in anal/oral sex with another man within the past six months and living in one of the four cities sampled. GTMSM were recruited in Santo Domingo (n = 510), Barahona (n = 281), La Altagracia (n = 270) and Santiago (n = 327). HIV seroprevalence ranged from 5.1% to 7.6%. HBV ranged from 0.6% to 3.5%, HCV from 0.8% to 6.9% and syphilis from 3.5% to 6.9%. GTM practice numerous risky sexual behaviours including having multiple sex partners and practising inconsistent condom use with male and female, including transactional, sex partners. Although we found lower HIV prevalence compared with previous studies, the high level of extremely risky sexual behaviours practised by GTM in the Dominican Republic will most likely result in increases in HIV and other infections if action is not taken to scale-up effective prevention programmes for this population.